Mastoid exploration

Based on experience in surgically created fistulae (. stapes surgery), it is thought that in many cases, a window fistula will heal itself if activity is restricted. In such cases, strict bed rest is recommended for one week or more to give the fistula a chance to close. It is usual to wait six months before embarking on surgical repair, given that hearing function is reasonable and is stable or improving. With respect to air travel, while it is certainly safest to avoid air travel altogether, in some instances it may be unavoidable. In this case, we suggest using a nasal decongestant at least one half hour prior to landing. Some of our patients have indicated that ear plugs are helpful in this situation also. Occasionally a ventilation tube will help.

Cranial shape is an excellent indicator of gender. Females tend to have a more vertical forehead, whereas males tend to have a gently sloping forehead and often a strongly-developed brow ridge. Just behind the mandible (jaw) is a small protruding bone know as the mastoid process -- a muscle attachment for that jaw that is often very developed in males and quite small in females. Near the base of the cranium are a series of muscle attachments known as the nuchal area. Females tend to exhibit less development of nuchal attachments in comparison to males. Two of the largest portions of the cranium are the parietal bones. Located in the back of the skull, these boney plates tend to bulge out ("bossing") as we transform from infant to young adult. Females often exhibit this “parietal bossing” more prominently than males. The size and shape of this skull is small and elongated, with a vertical forehead that is characteristic of an early 17th-century English female.

hearing loss (may be asymmetric) with or without dizziness, aural fullness or tinnitus. Symptoms often progress over weeks to months although sudden hearing loss has been Occasionally, the patient may have a systemic immune disease such as rheumatoid ,65,66 Hughes65 examined 52 patients suspected of having autoimmune inner ear disease and found 7 to have Cogan's syndrome, 4 with rheumatoid arthritis and 1 having systemic lupus Cogan's syndrome is a rare disease characterized by non-syphilitic interstitial keratitis associated with tinnitus, vertigo and hearing The etiology is uncertain but evidence suggests that immunologic or infectious causes are

The graft material used to repair the hole is slipped underneath the eardrum. The middle ear is filled with an absorbable sponge-like material known as gelfoam. This packing will hold the graft against the eardrum Packing is also placed in the ear canal, thus “sandwiching” the graft material to the native eardrum. The packing material slowly dissolves over the next 2 to 3 months. During this time, the eardrum heals over the graft and resumes a normal appearance. Hearing is often “plugged-up” or “muffled” as the packing material slowly dissolves. It takes several months until the final result of the surgery is known.

Mastoid exploration

mastoid exploration

The graft material used to repair the hole is slipped underneath the eardrum. The middle ear is filled with an absorbable sponge-like material known as gelfoam. This packing will hold the graft against the eardrum Packing is also placed in the ear canal, thus “sandwiching” the graft material to the native eardrum. The packing material slowly dissolves over the next 2 to 3 months. During this time, the eardrum heals over the graft and resumes a normal appearance. Hearing is often “plugged-up” or “muffled” as the packing material slowly dissolves. It takes several months until the final result of the surgery is known.

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